Individual provider Active NPI

Kathleen Joann Schretenthaler, PT CSCS

  • Physical Therapist
  • Livingston, MT
National Provider Identifier
1821150624
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1105 Issued in MT
Practice address
1313 W Park Street
Suite #7
Livingston, MT 59047
Phone
(406) 222-5519
Fax
(406) 222-0366
NPI assigned
Dec 15, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 1105 MT Primary
Physical Therapist 225100000X PT-641 WY
Physical Therapist 225100000X 3463 AZ

Addresses

Primary practice location

1313 W Park Street
Suite #7
Livingston, MT 59047

Mailing address

1313 W Park Street
Suite #7
Livingston, MT 59047
Phone (406) 222-5519

Other identifiers 3

IdentifierTypeStateIssuer
MSF1121482OtherMTMT STATE FUND
344556MedicaidMT
60146OtherMTBLUE CROSS BLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040924000864 MT Practitioner - Physical Therapist in Private Practice 7911978903 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Yellowstone Physical Therapy IncGroup PAC ID 6204807282, 6 clinicians

Practice addresses (Care Compare)

104 Centennial Dr
Suite 101
Livingston, MT 59047-8101
Phone (406) 222-5519

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1105MTMDAddiction (Substance Use Disorder) Counselor
PT-641WYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Yellowstone Physical Therapy Inc. Physical Therapist CurrentSince Nov 16, 1999 Accepting new patients

Locations

1313 W Park St
Ste 7
Livingston, MT 59047
Phone (406) 222-5519

104 Centennial Dr
Ste 101
Livingston, MT 59047
Phone (406) 222-0366

1201 US Highway 10 W
Ste E
Livingston, MT 59047
Phone (406) 222-5519

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1166140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1821150624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1313 W PARK STREET",
            "address_2": "SUITE #7",
            "city": "LIVINGSTON",
            "state": "MT",
            "postal_code": "59047",
            "telephone_number": "406-222-5519",
            "fax_number": "406-222-0366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1313 W PARK STREET",
            "address_2": "SUITE #7",
            "city": "LIVINGSTON",
            "state": "MT",
            "postal_code": "59047",
            "telephone_number": "406-222-5519",
            "fax_number": "406-222-0366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHRETENTHALER",
        "first_name": "KATHLEEN",
        "middle_name": "JOANN",
        "name_prefix": "Ms.",
        "credential": "PT CSCS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MT",
            "license": "1105",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WY",
            "license": "PT-641",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "3463",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MT STATE FUND",
            "identifier": "MSF1121482",
            "state": "MT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "344556",
            "state": "MT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "60146",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Livingston, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.